Stapled transabdominal lower esophageal anastomosis without purse-string suture.
Because of anatomic limitations at the EG junction in total and subtotal gastric resections, gastrointestinal reconstruction is technically challenging. In stapled anastomosis, suboptimal application of a purse-string suture to the distal esophagus may lead to anastomotic breakdown. We describe herein a technique in which this step is eliminated to achieve a sound, full thickness anastomosis with the use of the Roticulator TA 30 and the EEA Premium stapling instruments.
Legaspi
A
A
Department of Surgery, University of Miami School of Medicine, Florida 33101.
Irani
H
H
D000714:Anastomosis, Surgical / Q000379:methods; D004943:Esophagogastric Junction / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D013528:Surgical Staplers; D013537:Sutures